1422 Study of the Relationship Between Gestational Weight Gain (GWG), Cultural Level (CL), Birth Weight (BW) and Overweight/Obesity (OW/OB) Outcome

• Published in: Archives of disease in childhood Vol. 97; no. Suppl 2; pp. A404 - A405
• Main Authors: Guttadoro, D, Mercurio, R, Podagrosi, M, Grimaldi, A, Giacomini, A, Papa, RE, Vania, A
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01.10.2012; BMJ Publishing Group LTD
• Subjects: Body Weight; Child Health; Obesity; Pregnancy; Secondary Schools
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2012-302724.1422

Methods A sample of 856 children (396M), aged 10.29±2.77, was divided into 3 groups according to maternal GWG (group A, inadequate=323; group B, adequate=250; group C, excessive=283). They were compared for BW, z-BMI and WtHR. According to maternal education level, we also assigned patients to 3 different groups (PS: primary school; SS: secondary school; GR: graduation), assessing the relationship with GWG, BW, z-BMI and WtHR. Results Statistics show a different prevalence of adequate BW children (2.500–4.199kg), in B(92%), A(89%) and C(88%), and of WtHR (A=0.59±0.058; B=0.58±0.05; C=0.59±0.05). Student’s t-test has p<0.05 between both inadequate (A-C) and adequate GWG (B) for both parameters. About z-BMI, only the comparison between A and C is significant (A=1.96±0.57; C=2.07±0.49; p=0.026). GWG also shows significant differences in PS (15.39±8.67) and SS (14.93±7.24) vs. GR (13.19±6.12). The same for z-BMI in PS (2.08±0.61) and SS (1.937±0.48), and in PS and GR (1,915±0.48). Conclusions We can confirm the positive relationship between inadequate GWG and inadequate BW in children, and the increased risk of OW/OB. Besides, there is strict relationship between low maternal cultural level and inadequate GWG, and increased risk of OW/OB outcome. A strict anthropometric surveillance of pregnant women is desired, to prevent offspring’s future malnutrition in excess. Bibliography Fraser A et al. Circulation 2010; 121:2557–2564. Schack-Nielsen KF et al. Internat J Obes 2010; 34:67–74. Olson CM et al. Matern Child Health J 2009; 13:839–846. Oken E et al. Am J Obstet Gynecol. 2007; 196:322.e1–322.e8. Oken E et al. Obstet Gynecol. 2008; 112:999–1006.